Individual
MS. DANA GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
(505) 716-6942
Mailing address
301 MESILLA DR APT 3, AZTEC, NM 87410-1545
(505) 716-6942
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PTA.0013298
CO
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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